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LoParco CR, Sargsyan Z, Topuridze M, Sturua L, Kegler MC, Petrosyan V, Torosyan A, Grigoryan L, Bazarchyan A, Berg CJ. Associations Between Pro/Anti-Tobacco Media and Messaging Exposure and Knowledge and Support of Smoke-Free Policy Among Adults in Armenia and Georgia. JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2024; 30:501-511. [PMID: 37713644 PMCID: PMC10940185 DOI: 10.1097/phh.0000000000001828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/17/2023]
Abstract
CONTEXT Despite high smoking rates, Armenia and Georgia recently adopted smoke-free policies (2022 and 2018). OBJECTIVE We examined associations between exposure to pro-tobacco media (news opposing smoke-free policies; cigarette, e-cigarette, heated tobacco product [HTP] advertisements) and anti-tobacco media (media, community-based action) and (1) knowledge that the policies applied to alternative tobacco products (ATPs), and (2) support for the policies applying to ATPs and various settings. DESIGN We analyzed 2022 survey data. SETTING Data were from 28 communities in Armenia and Georgia. PARTICIPANTS The sample comprised 1468 adults (31.6% past-month smokers). METHODS We conducted multivariable regressions, controlling for country and sociodemographics. RESULTS Participants were knowledgeable that the policy applied to ATPs (79.2%) and supportive of them applying to ATPs and various settings (means = 3.43 and 3.00; 1-4 = strongly support). Greater exposure to anti-tobacco media/community-based action correlated with more likely knowing that the policies applied to ATPs and greater support of the policies applying to various settings; HTP advertisement exposure correlated with less support of the policies applying to various settings. Less exposure to news opposing smoke-free policies and greater exposure to media supporting such policies correlated with greater support of the policies applying to ATPs. CONCLUSIONS Media and community-based action may promote smoke-free policy knowledge and support. HTP advertisements may uniquely undermine smoke-free policies.
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Affiliation(s)
- Cassidy R. LoParco
- Department of Prevention and Community Health, Milken Institute School of Public Health; George Washington Cancer Center; George Washington University, Washington, DC
| | - Zhanna Sargsyan
- Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia
| | - Marina Topuridze
- Georgia National Center for Disease Control and Public Health, Tbilisi, Georgia
- Petre Shotadze Tbilisi Medical Academy, Tbilisi, Georgia
| | - Lela Sturua
- Georgia National Center for Disease Control and Public Health, Tbilisi, Georgia
- Petre Shotadze Tbilisi Medical Academy, Tbilisi, Georgia
| | - Michelle C. Kegler
- Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia
| | - Varduhi Petrosyan
- Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia
| | - Arevik Torosyan
- National Institute of Health named after academician S. Avdalbekyan, MOH, Yerevan, Armenia
| | - Lilit Grigoryan
- National Institute of Health named after academician S. Avdalbekyan, MOH, Yerevan, Armenia
| | - Alexander Bazarchyan
- National Institute of Health named after academician S. Avdalbekyan, MOH, Yerevan, Armenia
| | - Carla J. Berg
- Department of Prevention and Community Health, Milken Institute School of Public Health; George Washington Cancer Center; George Washington University, Washington, DC
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Schäffer A, Groh KJ, Sigmund G, Azoulay D, Backhaus T, Bertram MG, Carney Almroth B, Cousins IT, Ford AT, Grimalt JO, Guida Y, Hansson MC, Jeong Y, Lohmann R, Michaels D, Mueller L, Muncke J, Öberg G, Orellana MA, Sanganyado E, Schäfer RB, Sheriff I, Sullivan RC, Suzuki N, Vandenberg LN, Venier M, Vlahos P, Wagner M, Wang F, Wang M, Soehl A, Ågerstrand M, Diamond ML, Scheringer M. Conflicts of Interest in the Assessment of Chemicals, Waste, and Pollution. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2023; 57:19066-19077. [PMID: 37943968 DOI: 10.1021/acs.est.3c04213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Abstract
Pollution by chemicals and waste impacts human and ecosystem health on regional, national, and global scales, resulting, together with climate change and biodiversity loss, in a triple planetary crisis. Consequently, in 2022, countries agreed to establish an intergovernmental science-policy panel (SPP) on chemicals, waste, and pollution prevention, complementary to the existing intergovernmental science-policy bodies on climate change and biodiversity. To ensure the SPP's success, it is imperative to protect it from conflicts of interest (COI). Here, we (i) define and review the implications of COI, and its relevance for the management of chemicals, waste, and pollution; (ii) summarize established tactics to manufacture doubt in favor of vested interests, i.e., to counter scientific evidence and/or to promote misleading narratives favorable to financial interests; and (iii) illustrate these with selected examples. This analysis leads to a review of arguments for and against chemical industry representation in the SPP's work. We further (iv) rebut an assertion voiced by some that the chemical industry should be directly involved in the panel's work because it possesses data on chemicals essential for the panel's activities. Finally, (v) we present steps that should be taken to prevent the detrimental impacts of COI in the work of the SPP. In particular, we propose to include an independent auditor's role in the SPP to ensure that participation and processes follow clear COI rules. Among others, the auditor should evaluate the content of the assessments produced to ensure unbiased representation of information that underpins the SPP's activities.
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Affiliation(s)
- Andreas Schäffer
- Institute for Environmental Research, RWTH Aachen University, 52074 Aachen, Germany
- State Key Laboratory of Pollution Control and Resource Reuse, School of the Environment, 210023 Nanjing, China
- Key Laboratory of the Three Gorges Reservoir Region's Eco-Environment, Chongqing University, 400045 Chongqing, China
| | - Ksenia J Groh
- Eawag, Swiss Federal Institute of Aquatic Science and Technology, 8600 Dübendorf, Switzerland
| | - Gabriel Sigmund
- Environmental Technology, Wageningen University and Research, 6700 AA Wageningen, The Netherlands
| | - David Azoulay
- Center for International Environmental Law (CIEL), Washington, D.C. 20005, United States
| | - Thomas Backhaus
- Institute for Environmental Research, RWTH Aachen University, 52074 Aachen, Germany
- Department of Biological and Environmental Sciences, University of Gothenburg, 40530 Gothenburg, Sweden
| | - Michael G Bertram
- Department of Wildlife, Fish, and Environmental Studies, Swedish University of Agricultural Sciences, Umeå 907 36, Sweden
- Department of Zoology, Stockholm University, Stockholm 114 18, Sweden
- School of Biological Sciences, Monash University, Melbourne 3800, Australia
| | - Bethanie Carney Almroth
- Department of Biological and Environmental Sciences, University of Gothenburg, 40530 Gothenburg, Sweden
| | - Ian T Cousins
- Department of Environmental Science, Stockholm University, 10691 Stockholm, Sweden
| | - Alex T Ford
- Institute of Marine Sciences, University of Portsmouth, Portsmouth PO4 9LY, United Kingdom
| | - Joan O Grimalt
- Department of Environmental Chemistry, IDAEA-CSIC, 08034 Barcelona, Catalonia, Spain
| | - Yago Guida
- National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba 305-8506, Ibaraki, Japan
- Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, 21941-902 Rio de Janeiro, RJ, Brazil
| | - Maria C Hansson
- The Centre for Environmental and Climate Science (CEC), Lund University, 22362 Lund, Sweden
| | - Yunsun Jeong
- Division of Environmental Health, Korea Environment Institute (KEI), 30147 Sejong, Republic of Korea
| | - Rainer Lohmann
- Graduate School of Oceanography, University of Rhode Island, Narragansett, Rhode Island 02881, United States
| | - David Michaels
- Department of Environmental & Occupational Health, Milken Institute School of Public Health, The George Washington University, Washington, D.C. 20052, United States
| | - Leonie Mueller
- Institute for Environmental Research, RWTH Aachen University, 52074 Aachen, Germany
| | - Jane Muncke
- Food Packaging Forum Foundation, 8045 Zurich, Switzerland
| | - Gunilla Öberg
- University of British Columbia, Vancouver, BC V6T 1Z4, Canada
| | - Marcos A Orellana
- Global Toxics and Human Rights Project, American University Washington College of Law, Washington, D.C. 20016, United States
| | - Edmond Sanganyado
- Department of Applied Sciences, Northumbria University, Newcastle upon Tyne NE1 8ST, United Kingdom
| | - Ralf Bernhard Schäfer
- Institute for Environmental Sciences Landau, RPTU Kaiserslautern-Landau, 76829 Landau, Germany
| | - Ishmail Sheriff
- School of Civil Engineering, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang, Malaysia
| | - Ryan C Sullivan
- Department of Chemistry and Department of Mechanical Engineering, Carnegie Mellon University, Pittsburgh, Pennsylvania 15217, United States
| | - Noriyuki Suzuki
- National Institute for Environmental Studies, 16-2 Onogawa, Tsukuba 305-8506, Ibaraki, Japan
| | - Laura N Vandenberg
- Department of Environmental Health Sciences, School of Public Health & Health Sciences, University of Massachusetts Amherst, Amherst, Massachusetts 01003, United States
| | - Marta Venier
- Indiana University, Bloomington, Indiana 47405, United States
| | - Penny Vlahos
- Marine Sciences, University of Connecticut, Groton, Connecticut 06340, United States
| | - Martin Wagner
- Department of Biology, Norwegian University of Science and Technology, 7491 Trondheim, Norway
| | - Fang Wang
- State Key Laboratory of Soil and Sustainable Agriculture, Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210008, China
| | - Mengjiao Wang
- Greenpeace Research Laboratories, Department of Biosciences, University of Exeter, Exeter EX4 4RN, United Kingdom
| | - Anna Soehl
- International Panel on Chemical Pollution, 8044 Zürich, Switzerland
| | - Marlene Ågerstrand
- Department of Environmental Science, Stockholm University, 10691 Stockholm, Sweden
| | - Miriam L Diamond
- Department of Earth Sciences and School of the Environment, University of Toronto, Toronto M5S 3B1, Canada
| | - Martin Scheringer
- Institute of Biogeochemistry and Pollutant Dynamics, ETH Zürich, 8092 Zürich, Switzerland
- RECETOX, Masaryk University, 625 00 Brno, Czech Republic
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Odes R, Alway J, Kushel M, Max W, Vijayaraghavan M. The smoke-free home study: study protocol for a cluster randomized controlled trial of a smoke-free home intervention in permanent supportive housing. BMC Public Health 2022; 22:2076. [PMCID: PMC9664594 DOI: 10.1186/s12889-022-14423-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 10/23/2022] [Indexed: 11/16/2022] Open
Abstract
Abstract
Background
Formerly chronically homeless adults who live in permanent supportive housing (PSH) have high prevalence of smoking. It is uncommon to find smoke-free policies in PSH because of the concern that such policies contradict PSH’s harm reduction framework and could increase homelessness should residents lose their housing because of the policy. However, in the absence of such policies, non-smoking PSH residents face the harmful effects of secondhand smoke exposure while residents who smoke see increased risks from high rates of smoking throughout their residence. Our pilot work highlighted the feasibility and acceptability of an intervention designed to promote voluntary adoption of a smoke-free home. Here we report a protocol for a cluster randomized controlled trial of the smoke-free home intervention for formerly chronically homeless residents in PSH.
Methods
The smoke-free home intervention provides face-to-face counseling and instruction to PSH residents on how to adopt a smoke-free home and offers training for PSH staff on how to refer residents to tobacco cessation services. We will randomize 20 PSH sites in the San Francisco Bay Area to either the intervention or wait-list control arms. We will enroll 400 PSH residents who smoke cigarettes in their housing unit and 120 PSH staff who work at the sites. At baseline, three- and six-months follow-up, we will ask residents to report their tobacco use and cessation behaviors and adoption of smoke-free homes. We will ask staff to answer questions on their knowledge, attitudes, practices, and barriers related to supporting residents’ smoking cessation. The primary outcome for PSH residents is adoption of smoke-free homes for 90 days or more at six-months follow-up, and the secondary outcome is point prevalence tobacco abstinence. The primary outcome for PSH staff is change in Smoking Knowledge Attitudes Practices survey score.
Discussion
Voluntary adoption of smoke-free homes is a promising approach for reducing exposure to secondhand smoke and reducing tobacco use among a population facing high rates of tobacco-related disease, and is aligned with PSH’s harm reduction framework. Findings from this study have the potential to inform adoption of tobacco control policies among vulnerable populations most at risk for smoking-related harms.
Trial registration
This study was registered with the U.S. National Institute of Health Clinical Trials register on April 22, 2021: NCT04855357.
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